Transrectal Ultrasound kweprostate: tsanangudzo, gadziriro uye zano

Mumakore achangopfuura, kuitika nekenza pelvic nadzo iri kukura nokukurumidza. Izvi imhaka kwete chete kune chokwadi kuti oncological zvirwere zvakawanda zvakajairika kupfuura kare. Chinokonzera hwevanhu vanorwara kukura wokutanga kuvandudza chirwere nzira. Zvino, anenge ose munhu anopfuura 50 nemakore rents nenguva anoedza kuziva kenza zvezvinangwa. Uyezve, vanenge vanofungidzirwa chirwere anomhanya akafanana unhu mudziyo Diagnostics. Imwe nzira iri transrectal Ultrasound. Zvinonzi inoitwa kuti vose varume nevakadzi vane vanofungidzirwa kenza uye anogumbura pezvakaitwa ari pelvic zvomukati. Zvichienzaniswa abdominal Ultrasound, nzira iyi anonzi zvikuru akavimbika, nokuti Switch riri pedyo pathological kwendangariro. Saka, funga zviremera kudzora nani.

Chii transrectal Ultrasound?

Nzira iyi inobva ultrasonic chiito. Sezvaunoziva, kuri nzira iyi zvinoreva asiri invasive dzokuvhiya. Ultrassom mafungu vanokwanisa kuchinja munyama womunhu, uyewo ichipfuura. Transrectal Ultrasound (TRUS) hapana chakasiyana mashandiro chiito dzimwe siyana zveBhaibheri. Musiyano chete iri ndechokuti Switch akaiswa mugomba mugaranhoko, uye haina yakaiswa pamusoro pechiso mudumbu.

Nokuti vose micheka dzakasiyana ungira arambe achirema, chiremba anokwanisa kuona nhengo pamadziro. In pamberi anogumbura kuchinja kana chero zvisimbiso (idzodzo), Ultrasound mufananidzo inoshanduka. Ndiyo nhengo kana mugove waro arambe achirema zvakasiyana vasingambooni chakaipa nazvo. Vose hypo- uye hyperechogenicity zvinoratidza pamberi pathological kwacho kuti anochinja nemamiriro tishu.

TRUS aitira Visualization kweprostate, muura, Douglas nzvimbo, dundira. mitumbi zvose izvi vanoratidza pamusoro tarisisa uye dzimwe mhando Ultrasound (abdominal, vakadzi - transvaginal). Zvisinei, kana kuisa pasi Switch kupinda mugaranhoko kuri nani, nokuderedza daro pakati kweguyo tishu.

Zvairatidza kuti transrectal yeprostate ultrasonography

Transrectal ultrasonography kweprostate ndiyo nzira yakavimbika kuti diagnosing zvirwere yeprostate. Ndiyo nzira nzvimbo kutsvakurudza, kunyanya vanenge vanofungidzirwa oncologic kwacho. Kunyange zvakadaro, kugadzwa TRUS hazvirevi kuti pane kenza. Saka musavhunduka pachine uye kuti kukurumidza mhedziso. Unofanira kuziva kuti kana kuwana mashoko abdominal Ultrasound mafungu nomunyika siyana munyama (ganda, mafuta, tsandanyama). pashure chete kuti uuraye kweprostate gland. Naizvozvo pathologies chirwere zvakaoma, kunyanya kana murwere ari kufuta. Transrectal prostate ultrasonography achibvumira kanoverengeka kuderedza chinhambwe kubva Switch pakuedzwa muviri. Mushure kweprostate gland iri bordered kuti mugaranhoko. Zvairatidza kuti TRUS ndedzinotevera inoti:

1. Benign prostatic dzidzo. zvokurwara Izvi kakawanda chaizvo varume vakuru. Maererano nenhamba, prostate adenoma inowanikwa inenge mamwe mumiririri akasimba bonde ose pashure pemakore 50.
2. kenza yeprostate. Nokuti vanofungidzirwa TRUS oncological chirwere ndiyo nzira chikuru nechirwere. Izvi imhaka yokuti pasi vaitarisirwa Ultrasound kudzidza akaita ponji muviri. Saka, chiremba anoyera Ultrasound mufananidzo uye anoita biopsy. I.e. unobereka fenzi zvinhu (micheka) kuti maronda.
3. Kugadzirira pakuvhiya kweprostate.
4. Male kushaya mbereko. Kazhinji nekusagona isa fotereza anova pamusoro mamiriro echirwere kuzvimba - prostatitis.

Transrectal Ultrasound kweprostate rinoitwa kana murwere anonyunyuta kurwadziwa muna pubic uye muhudyu nharaunda, kuripa kuti horo. Uyewo, muchidzidza kuitwa zvaipesana weti uye ejaculation, kusabetsera.

Zvairatidza kuti transrectal ultrasonography vakadzi

Transrectal Ultrasound rinoitwa zvishoma kakawanda vakadzi pane muvarume. Kakawanda, nzira iyi nechirwere rinoitwa vanenge vanofungidzirwa kenza. Uyezve, TRUS akaita kana paine mukana wokuti anogumbura pezvakaitwa muna Douglas nzvimbo, abscesses, uye zvichingodaro. D. Kana chikazozikamwa, nemamiriro ose chiuno vakadzi nevarume siyanei. Yandakapiwa Kuongorora dumbu uye zvinoshandiswa rinoitwa kakawanda, kazhinji, tinoratidza munhu transvaginal Ultrasound. Zvisinei, mune zvimwe zviitiko, Visualization nhengo kuburikidza mugaranhoko anopa mamwe mashoko pamusoro chirwere.

The chiratidzo nokuda transrectal Ultrasound vakadzi ndeyokudzidza Douglas nzvimbo. Zvinomirira peritoneum muhomwe yaiva pakati mugaranhoko uye dumbu. Saka, kuongorora mamiriro TRUS adrectal nokusanzwira neshure iine nhengo dzokubereka nadzo. It rinoitwa pasi anotevera ezvinhu:

1. Vanofungidzirwa pute Douglas nzvimbo. Kazhinji kuzvimba iri mugumisiro yematambudziko ose appendicitis uye peritonitis.
2. Uterine kenza zvokurwara yacho mugaranhoko.
3. Vanofungidzirwa metastases adrectal faibha. It kunoitika apo gastric anomera.
4. Kuzvimba mugaranhoko.
5. Benign growths seri pamadziro dumbu.

Vose varume nevakadzi TRUS inoshandiswa kuongorora mamiriro ezvinhu urogenital zvomukati. Kunyange zvakadaro, kazhinji, zvinoongororwa pedyo transabdominal nzira.

Chirwere kuti dundira zvirwere kubudikidza TRUS

Kunze pamusoro zvomukati ari pelvic mhango ndiye dundira. Riri pamberi mugaranhoko. Vakadzi kuiwana Anofukidza dumbu. Naizvozvo, transrectal Ultrasound pamusoro dundira kazhinji vakatakura vanhu. Voitakura kunze vanenge vanofungidzirwa bundu, benign uye anogumbura infiltrates. Women TRUS dundira mashandiro kana namira kwacho chiuno kana zvakakomba kufutisa. Uyewo, nzira iyi inoshandiswa kudzivisa kuvadza hymen, akaiswa munzvimbo nyinyo Switch.

Contraindications kune transrectal ultrasonography

kwete akakurudzira Mune zvimwe zviitiko, transrectal ultrasonography. NeMhedziso contraindication kuti nzira iyi chirwere ndiye Surgery horo. Ichi vachiberekwa malformation, sezvamakaropafadzwa is horo. Similar anomalies ose rokuongorora mumazuva upenyu mangwanani. Other contraindications muri hama. Izvi zvinoreva kuti pane imwe tsvakurudzo zvashata nevamwe. Kunyange zvakadaro, zviri nani kuti kutsiva dzimwe chirwere nzira. Nokuti hama contraindications dzinosanganisira:

1. Fresh wakatsemuka mugaranhoko. In chirwere ichi, chero kumonyanisa inoitwa transrectal wairambidza. Zvisinei, pashure pakurapa mutswe (zvakazorodza rikwanise ezvinhu), achiita TRUS zvinobvira.
2. Kuvapo zvomoto Mamota kunze uye mukati mugaranhoko. Panyaya iyi, pakatanga transrectal Ultrasound vachiongorora havasi kuratidzwa nokuda mukana vascular kukuvara.
3. Kuvhiya bata pakati mugaranhoko, inoitwa nguva pfupi asati wemapoka pakudzidza. Izvi zvinosanganisira chero kuvhiya: kuvhurika uye abudise kuti mafuta rinenge sinus maturakiti, etc ...

Transrectal Ultrasound: vachigadzirira kudzidza

Kungofanana kudzidza, akaita transrectal, TRUS kunoda gadziriro. Kuti vabudirire dzose Visualization ari pelvic zvomukati, kuti mugaranhoko inofanira kwerubwinyo rwakagara rwuripo kucheneswa. Kuti izvi zvidaro, mashoma maawa pamberi nzira vanofanira laxative kana ane enema. Kana chiratidzo chidzidzo vari zvirwere mugaranhoko, inofanira kunze zvokudya Spicy chikafu, nyoro uye zvinwiwa zvinodhaka. Asati achiita TRUS prostate pre-zvokudya haisi kuzvireva. Kana chinhu kudzidza ndiko dundira, zvakakodzera zadza. Nokuti chinangwa ichi, yokuongororwa nzira pamberi murwere kunwa 1-2 litres mvura.

achiita tsvakurudzo midziyo

Transrectal ultrasonography anoitwa dzakasiyana zvinzvimbo. To Nyatsotarisa kweprostate gland, murwere akakumbirwa norutivi rwako rworuboshwe. tsoka dzake panguva imwe chete inofanira hwakakungwa pamabvi uye waitsimbirira dumbu rake. Transrectal pelvic Ultrasound vakadzi kakawanda kuitirwa proctology cheya (kana gynecological). In Saizvozvo Vanodzidza dundira. Mune zvimwe zviitiko, murwere kupa kutora nzvimbo Belvedere raMwari. Kazhinji - nokuti vanofungidzirwa zvokurwara yacho mugaranhoko.

Pamberi ultrasonic Switch kupinda mumagaro canal, zvinonzi akazorwa Vaseline kana chaiwo mafuta. The Chishandiso kutaurwa kupinda lumen kuti kudzika 6 cm. Wongorora mumagaro canal, sphincters, nhego masvingo. Next isu vanoongorora prostate uye seminal vesicles. Vakadzi, pashure kuzviongorora mugaranhoko iri mufanidziro posterior fornix pamusoro dumbu uye Douglas nzvimbo, ipapo - dundira. All migumisiro muchando pamadziro. Ipapo muchina yakanyatsoita vakabviswa mugaranhoko.

Zvakanakira transrectal ultrasonography

Zvakanakira TRUS zvinosanganisira:

1. Kusavapo nemwaranzi chokupfeka.
2. Nyarara.
3. Informativeness.
4. Kuvandudza Visualization of pelvic zvomukati. High ruzivo Ultrasound akaita kubudikidza mugaranhoko, runowanikwa pedyo napedyo kweprostate uye kusavapo gobvu rukoko mafuta zvinyama iyo inowanikwa iri abdominal pamadziro.

Zvakabuda transrectal Ultrasound

Nokuda nzira TRUS zvinokwanisika rokuongorora mapundu pamusoro pelvic nadzo uye metastases adrectal faibha. Uyezve, pamwe nzira iyi, zvidzidzo vanofungidzira kukura, ukobvu uye nzvimbo kweprostate, dundira. Anogumbura pezvakaitwa uye dzidzo akaratidza ari tarisisa sechinhu hypo- kana hyperechoic tishu zvikamu. Mhedziso pamusoro Ultrasound-mufananidzo anoita dzichipfekeka Diagnostics, chiremba wezvedundira, gayinakorojisiti.